April 25th 2025
As the Affordable Care Act passed its 15th anniversary this year, Supreme Court Justices continue to deliberate the fate of its preventive services mandate in Kennedy v Braidwood.
Impact of Clinical Training on Recruiting Graduating Health Professionals
A business case is made for medical centers to offer high-quality clinical training experiences to recruit graduating health professionals.
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Cost Differential of Immuno-Oncology Therapy Delivered at Community Versus Hospital Clinics
Administration of immuno-oncology therapy for cancer diagnoses in the community clinic setting is associated with lower costs compared with administration in a hospital-based clinic setting.
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What We're Reading: Insulin Costs Double; PhRMA's Record Spending; Causes of Liver Transplants
January 23rd 2019Between 2012 and 2016, insulin costs for patients nearly doubled while utilization remained flat; the pharmaceutical industry's lead lobbying group spent a record amount in 2018; and alcohol-associated liver disease has surpassed hepatitis C as the top cause of liver transplants.
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Allison Brennan: Compared With Other Models, ACOs Show Increasingly Positive Results
January 4th 2019With a number of difference payment programs being tested, it’s important to have a sophisticated evaluation of these programs to really understand their impact on quality and cost, said Allison Brennan, MPP, senior vice president of government affairs for the National Association of ACOs.
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Cost of Pharmacotherapy for Opioid Use Disorders Following Inpatient Detoxification
The mean 24-week cost per participant was $5416 for extended-release injectable naltrexone (57% detoxification, 37% medication, 6% provider/patient) and $4148 for buprenorphine-naloxone (64% detoxification, 12% medication, 24% provider/patient).
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Food Insecurity, Healthcare Utilization, and High Cost: A Longitudinal Cohort Study
September 10th 2018In a longitudinal study, the authors find that food insecurity is associated with greater emergency department visits, inpatient admissions, and length of stay. Check out our website’s new table/figure pop-up feature! Click on the name of a table or figure in the text to see it in your browser.
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Larger Practices Spend More on, Have Higher Readmission Rates for Medicare Beneficiaries
August 7th 2018Despite the presumption that larger practices that have more resources and are therefore better at providing care and improving outcomes, new research shows that they spend more on and have higher readmission rates for Medicare beneficiaries than smaller practices.
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Transitional Care Management Services Lower Costs, Mortality Rates Among Medicare Patients
August 1st 2018Researchers have found that transitional care management (TCM) services are associated with reductions in mortality and total Medicare costs; however, adoption of these services has remained low since the implementation of TCM payment codes in 2013.
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Dr Dennis P. Scanlon Explains Costs Associated With the Opioid Epidemic
July 27th 2018Individuals, families, and local, state, and federal government all have incurred costs as a result of the opioid epidemic, explained Dennis P. Scanlon, PhD, professor, Health Policy and Administration, and director, Center for Health Care and Policy Research, Pennsylvania State University.
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Medicare Chemo Costs Are Lower in Hospital Clinics Once Cancer Type is Considered, AJMC® Study Finds
July 19th 2018Critics of healthcare consolidation have cited higher costs of chemotherapy administration as an example of how mergers drive up costs. A new study in The American Journal of Managed Care®finds that while drug administration costs in hospitals are higher, chemotherapy drug spending among Medicare patients is lower, driven by less frequent use of therapy.
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Two-Year Adherence and Costs for Biologic Therapy for Rheumatoid Arthritis
Adherence to newly initiated biologic therapy for rheumatoid arthritis is important for long-term adherence.
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Reducing Hospital Readmissions Through a High-Touch Customer Service Model
July 9th 2018Two years after initiating a high-touch customer model to better serve their members, WEA Trust has achieved a 31% reduction in readmission rates, resulting in savings of $1.9 million, as well as a 7.1% reduction in emergency room use, translating to $2.4 million in savings.
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Medical Group Endorses 14 Quality Measures to Streamline Reporting, Reduce Burden
June 29th 2018The American Medical Group Association has endorsed a set of 14 value measurements to streamline the reporting process and reduce costs while also improving care by offering a standard set of measures for value-based contracts with payers.
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Ellen Miller Sonet: The Importance of Cancer Care Providers Informing Patients of Treatment Costs
June 17th 2018Cancer patients are agreeing to treatment plans lacking a fundamental understanding of the impacts on their finances, explained Ellen Miller Sonet, MBA, JD, chief strategy and policy officer, CancerCare.
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